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Yao & Artusio's Anesthesiology: Problem-Oriented Patient Management
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Lung parenchymal function
Lung recruitment
E.1. Which mode of mechanical ventilation will you choose? Describe the features of that mode.
E.3. How should you set positive end-expiratory pressure (PEEP)?
F.1. What else can promote additional lung recruitment?
Lung transplantation
Lung volume hypothesis, of obstructive sleep apnea
See specific measurements
in asthmatic attacks
in lung cancer
in obstructive vs. restrictive lung disease
normal values
Luxury perfusion
A.20. What is meant by the term luxury perfusion?
C.6. What are the effects of anesthetics on the cerebral metabolic rate of oxygen (CMRO2), CBF, and ICP? With this in mind, how would you maintain anesthesia?
LVEDP (left ventricular end-diastolic pressure)
A.4. What are representative P-V loops for the four valvular lesions?
A.5. Draw the pressure/time curves for the LV, left atrium (LA), pulmonary artery (PA), and aorta for a normal patient and for patients with each of the four valvular lesions.
B.2. How would you evaluate the patient's left ventricular function?
B.3. Which factors determine myocardial oxygen supply?
LVEDV (left ventricular end-diastolic volume)
LVESP (left ventricular end-systolic pressure)
LVESV (left ventricular end-systolic volume)
See Left ventricular outflow tract obstruction, in transposition of the great arteries (LVOT)
A.10. What are the echocardiographic and cardiac catheterization criteria for the four valvular lesions?
A.10. What is the differential diagnosis of d-TGA and how is the diagnosis made?
A.11. What preoperative interventions can help stabilize a patient with d-TGA?
A.12. What are the surgical options for repair? Why is one chosen over the others?
A.3. What additional cardiac lesions are associated with d-TGA?
A.4. What is the natural history of d-TGA?
A.6. What determines the oxygen saturation (Sao2) in patients with d-TGA?
A.7. What are the three TEE vantage points for comprehensive imaging of the LV? How are pressure gradients measured by echocardiography? How do pressure gradients derived from Doppler echocardiography differ from those obtained in the catheterization laboratory by direct pressure measurement?
A.8. What is the purpose of the basic perioperative TEE examination? Describe the standard views that comprise this examination.
A.9. What are the clinical subsets of d-TGA?
B.2. What are the anesthetic goals before cardiopulmonary bypass (CPB)?
D.5. What are the long-term outcomes after Rastelli repair for patients with d-TGA with left ventricular outflow tract (LVOT) obstruction?
Transposition of the Great Arteries
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